Soulmosaic, Pllc

NPI #1013581404 in Morgantown, West Virginia

Provider Information

NPI Number: 1013581404
Entity Type: Organization
Organization Name: Soulmosaic, Pllc
Primary Specialty: Counselor
Enumeration Date: May 19, 2021
Last Updated: May 19, 2021

Practice Location

Address: 240 SCOTT AVE STE 4
City: Morgantown
State: West Virginia
ZIP Code: 26508-8805
Phone: (304) 685-8967

Authorized Official

Name: JESSICA NICOLE MATALA, LICSW
Title: OWNER
Phone: (304) 685-8967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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